Provider Demographics
NPI:1508884420
Name:MAINGUY, SARAH (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MAINGUY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH ADRIENNE
Other - Middle Name:BYFIELD
Other - Last Name:MAINGUY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:121 S 8TH ST STE 600
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2825
Mailing Address - Country:US
Mailing Address - Phone:612-333-4822
Mailing Address - Fax:612-333-3108
Practice Address - Street 1:121 S 8TH ST STE 600
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2825
Practice Address - Country:US
Practice Address - Phone:612-333-4822
Practice Address - Fax:612-333-3108
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN44573207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNH61368Medicare UPIN